Individual
BRENDIN GILLIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12901 SE 97TH AVE STE 180, CLACKAMAS, OR 97015-7903
(971) 206-6337
Mailing address
2601 NETWORK BLVD STE 102, FRISCO, TX 75034-9092
(972) 372-6750
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-258
HI
Other
Enumeration date
09/05/2019
Last updated
08/03/2023
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